ArticleInternational orthopaedics2017
Can the metaphyseal anchored Metha short stem safely be revised with a standard CLS stem? A biomechanical analysis.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Preoperative factors associated with alignment change from planned metaphyseal- to diaphyseal-dominant fixation in calcar-guided short-stem total hip arthroplasty.International orthopaedics · 2026Article
- Short Stem vs. Standard Stem in Primary Total Hip Replacement: A Perioperative Prospective Invasiveness Study with Serum Markers.Diseases (Basel, Switzerland) · 2025Article
- Biomechanical analysis of a short femoral stem used in revision total hip replacement of a standard femoral stem.Scientific reports · 2025Article
- Femoral Anteversion in Total Hip Arthroplasty: Retrospective Comparison of Short- and Straight-Stem Models Using CT Scans.Journal of clinical medicine · 2023Article
- Simultaneous Bilateral Total Hip Arthroplasty with Straight-Stems and Short-Stems: Does the Short One Do a Better Job?Journal of clinical medicine · 2023Article
- Three-year migration analysis of a new metaphyseal anchoring short femoral stem in THA using EBRA-FCA.Scientific reports · 2022Article
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
- Long-term outcomes of cementless femoral stem revision with the Wagner cone prosthesis.Journal of orthopaedic surgery and research · 2021Article
- Short versus conventional stem in cementless total hip arthroplasty : An evidence-based approach with registry data of mid-term survival.Der Orthopade · 2021Article
- Primary stability of calcar-guided short-stem total hip arthroplasty in the treatment of osteonecrosis of the femoral head: migration analysis using EBRA-FCA.Archives of orthopaedic and trauma surgery · 2020Article
- Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study.Journal of orthopaedic surgery and research · 2020Article
- Comparisons of the surface micromotions of cementless femoral prosthesis in the horizontal and vertical levels: a network analysis of biomechanical studies.Journal of orthopaedic surgery and research · 2020Article
- Mid-term results of a new-generation calcar-guided short stem in THA: clinical and radiological 5-year follow-up of 216 cases.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2019Article
- Femoral neck preservation with a short hip stem produced with powder manufacturing: mid-term results of a consecutive case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Fourteen-year experience with short cemented stems in total hip replacement.International orthopaedics · 2019Article
- Citations, non-citations and visibility of International Orthopaedics in 2017.International orthopaedics · 2018Article
- Can hip resurfacing be safely revised with short-stem total hip arthroplasty? A case series of six patients.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeShort stem total hip arthroplasty (SHA) has gained increasing popularity as it conserves bone stock and is supposed to allow revision with a conventional stem. However, no study has evaluated whether the revision of a SHA with a standard total hip arthroplasty (THA) stem provides sufficient primary stability to allow osseous integration.
methodsA neck preserving SHA (Metha) and a standard THA (CLS) stem were implanted into six composite femurs respectively and dynamically loaded (300-1700 N, 1 Hz). Primary stability was evaluated by three dimensional-micromotions (3D micro motion) at five points of the interface. Then, a revision scenario was created by removing the SHA and using the same CLS stem as a revision implant (CLS-revision group), with subsequent evaluation of the 3D micro motion according to the primary CLS stem.
resultsThe 3D micro motion pattern significantly differed in the primary situation between the short and the standard stem. The highest 3D micro motion were registered proximally for the Metha and distally for the CLS stem. Revising the Metha with a CLS stem revealed a bony defect at the calcar. However, the 3D micro motion of the CLS-revision group were not significant higher compared to those of the primary CLS stem.
conclusionOur results show, that SHA (Metha) and standard THA (CLS) provide a good primary stability, however with different pattern of anchorage. The CLS stem reached a similar stability in this revision scenario as the CLS in the primary situation, wherefore it can be assumed that in uncomplicated revisions the Metha short stem can safely be revised with a CLS standard stem.
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